Kidney Frailty Calculator

KYDNEY FRAILTY CALCULATOR, THE TOOL TO ASSESS FRAGILITY IN RENAL PATIENTS.
(THE TOOL TO ASSESS FRAGILITY IN THE RENAL PATIENT).

The increase in life expectancy in recent decades, both in Spain and in developed countries in general, is associated with the increase in the number of patients with advanced chronic kidney disease (ACKD). Given this fact, it is increasingly common for the nephrologist to need to assess whether or not this type of patient is a candidate for renal replacement therapy (RRT). In this context, this app was born, which develops the European Renal Best Practice Group Clinical Practice Guidelines, with the aim of helping doctors define their patient's situation in terms of survival, CKD progression, quality of life and in making decisions about the behavior to follow.

METHODS: The assessment is made by calculating the Kidney Failure Risk Equation, Bansal Score, and Clinical Frailty Scale, the results of which are used in a final algorithm that guides the nephrologist in decision-making. In addition, the app has numerous other additional tests that help to personalize the assessment for each patient.

RESULTS: Mortality Risk Prediction and ESRD Progression Risk Prediction are assessed for shared decision-making such as nephroprotective measures, advanced care planning, current or future RRT need assessment, assessment in this second case, if counseling is required prior to dialysis (modality selection, including conservative measures) and finally, risk prediction when considering whether or not to start RRT. about the topic; and formulas used to calculate the results obtained with their references. In addition, it has other functions such as: Copying, which allows exporting the results obtained to documents, guides with links to publications of interest on the subject and formulas used to calculate the results obtained with their references as well.

CONCLUSIONS: In a growing context of significant aging of the population with CKD, where the concept of frailty is increasingly present in our specialty, this application was born as a new tool that helps the nephrologist to define the situation of his patient in in terms of survival, quality of life and decision-making about the conduct to follow.

This app is a tool that can never replace clinical judgment.